Evidence map›Paper›PMID 24442739›Full record

ReviewJournal of the International Association of Providers of AIDS Care

Physician barriers to successful implementation of US Preventive Services Task Force routine HIV testing recommendations.

Micha Yin Zheng, Amit Suneja, Ann Love Chou, Monisha Arya

Abstract readReview
In one paragraph

Review in Journal of the International Association of Providers of AIDS Care. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
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  4. Clinician Barriers and Facilitators to Routine HIV Testing: A Systematic Review of the Literature.Journal of the International Association of Providers of AIDS Care
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  20. Budgetary Impact of Compliance With STI Screening Guidelines in Persons Living With HIV.Journal of acquired immune deficiency syndromes (1999) · 2017
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Micha Yin ZhengUniversity of California, Berkeley, School of Public Health, Berkeley, CA, USA.
Amit Suneja
Ann Love Chou
Monisha Arya

Funding

Virology CoreP30AI036211 · NIAID · BAYLOR COLLEGE OF MEDICINE · PI KOZINETZ, CLAUDIA A. · 1994 to 2015
$21.7M
Designing a HIV Testing Campaign for Health Centers Serving African-AmericansK23MH094235 · NIMH · BAYLOR COLLEGE OF MEDICINE · PI ARYA, MONISHA · 2012 to 2016
$852k
NIAID NIH HHS AI036211NIAID NIH HHS P30 AI036211NIMH NIH HHS K23 MH094235NIMH NIH HHS MH094235-01A1
6 · The paper itself

Abstract

In 2006, the US Centers for Disease Control and Prevention issued recommendations supporting routine HIV testing in health care settings for all persons aged 13 to 64 years. Despite these recommendations, physicians are not offering HIV testing routinely. We apply a model that has previously identified 3 central, inter-related factors (knowledge-, attitude-, and behavior-related barriers) for why physicians do not follow practice guidelines in order to better understand why physicians are not offering HIV testing routinely. This model frames our review of the existing literature on physician barriers to routine HIV testing. Within the model, knowledge barriers include lack of familiarity or awareness of clinical recommendations, attitude barriers include lack of agreement with guidelines, while behavioral barriers include external barriers related to the guidelines themselves, to patients, or to environmental factors. Our review reveals that many physicians face these barriers with regards to implementing routine HIV testing. Several factors underscore the importance of determining how to best address physician barriers to HIV testing, including: provisions of the Affordable Care Act that are likely to require or incentivize major payers to cover HIV testing, evidence which suggests that a physician's recommendation to test for HIV is a strong predictor of patient testing behavior, and data which reveals that nearly 20% of HIV-positive individuals may be unaware of their status. In April 2013, the US Preventive Services Task Force released a recommendation supporting routine HIV testing; strategies are needed to help address ongoing physician barriers to testing.

Indexed as

AIDS SerodiagnosisGuideline AdherencePractice Guidelines as TopicPractice Patterns, Physicians'Attitude of Health PersonnelClinical CompetenceHIV InfectionsHumansPrimary Health CareUnited StatesCDCguidelinesHIV testingphysicianUSPSTF

Identifiers

PMID24442739
PMCPMC4016109

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.